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2013 Data Collection Form: prescribing (For patients with Medicare Part B FFS Insurance) Physician Name: Patient Name: Last First MI Patient Insured by Traditional Medicare: / / mm dd YYY MAN: M F
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The data collection form e-prescribing is a document used to gather information on electronic prescriptions that have been sent and received by healthcare providers.
Healthcare providers who engage in e-prescribing activities are required to file the data collection form.
The form can be filled out by entering the required information such as the number of electronic prescriptions sent and received, along with other relevant data.
The purpose of the data collection form e-prescribing is to track and monitor electronic prescribing activities in the healthcare industry.
Information such as the number of electronic prescriptions sent, received, and any errors encountered during the e-prescribing process must be reported.
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